| Model Number |
3520 |
| Medical Device Problem Codes |
Difficult to Remove (1528); Detachment of Device or Device Component (2907)
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| Health Effect - Clinical Codes |
Foreign Body In Patient (2687); Insufficient Information (4580)
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| Date of Event |
07/02/2026
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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It was reported that guidewire detachment and difficulty removal occurred, resulting in an unretrieved device fragment.The patient had diffused left anterior descending (lad) lesions with severe calcification.A rotawire 330cm gw(5pk) flop was selected for use.During coronary intervention, the rotational atherectomy guidewire was advanced into the distal end of the vessel via a microcatheter.When the guidewire was withdrawn into the main vessel, angiography revealed that the guidewire had fractured approximately 1 cm within the branch.The fractured segment could not be removed due to the small vessel size.The patient experienced unspecified complications.The rotational atherectomy procedure was completed normally and the patient was stable.It was further reported that the target lesion was 80% stenosed.The device was not removed from the patient, and there are no plans for a repeat procedure.There were no patient complications.
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Event or Problem Description
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It was reported that guidewire detachment and difficulty removal occurred, resulting in an unretrieved device fragment.The patient had diffused left anterior descending (lad) lesions with severe calcification.A rotawire 330cm gw(5pk) flop was selected for use.During coronary intervention, the rotational atherectomy guidewire was advanced into the distal end of the vessel via a microcatheter.When the guidewire was withdrawn into the main vessel, angiography revealed that the guidewire had fractured approximately 1 cm within the branch.The fractured segment could not be removed due to the small vessel size.The patient experienced unspecified complications.The rotational atherectomy procedure was completed normally and the patient was stable.
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Additional Manufacturer Narrative
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E1 - initial reporter phone: (b)(6).With all the available information, boston scientific concludes:
device analysis findings:
the device was not returned for analysis; therefore, a technical analysis could not be performed.Device history record (dhr) review:
it was confirmed this device met manufacturing specification prior to distribution and there were no manufacturing deviations which could have contributed to the reported event.Labeling review:
review of the instructions for use (ifu) confirmed there was relevant content and sufficient guidance with respect to the circumstances described within this complaint.No updates are required to the ifu as a result of this event.Investigation conclusion:
this investigation has been assigned an investigation conclusion code of adverse event related to patient condition, following a review of the reported event details, available information, and product record review.It is most likely the presence of reported anatomical factors, presented a constriction over the device and increased the friction when the device was advancing/withdrawing through the lesion reducing the mobility and generating the reported issues.Regarding the reported unretrieved device fragments, according to the event description, the guidewire detachment and removal difficulty may have been caused by a possible device malfunction that resulted in the reported issues.
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Additional Manufacturer Narrative
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E1 - initial reporter phone: (b)(6).Good faith effort attempts were made to try and retrieve additional details regarding the reported event, but further information was unable to be obtained.
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Search Alerts/Recalls
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